Individual
JENNIFER BONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8901 N OZANAM AVE, NILES, IL 60714-1711
(847) 965-0050
Mailing address
8901 N OZANAM AVE, NILES, IL 60714-1711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
150.105588
IL
1041S0200X
School Social Worker
Primary
2573001
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1293215
—
IL
Enumeration date
01/21/2022
Last updated
08/27/2024
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